Abstract
A 1-day table-top exercise in San Diego, California, in December 2004 emphasized voluntary compliance with home quarantine to control an emerging infectious disease outbreak. The exercise heightened local civilian-military collaboration in public health emergency management. Addressing concerns about lost income by residents in quarantine was particularly challenging.
Highlights
In a study of quarantine implementation in the greater Toronto area during its 2003 outbreak of severe acute respiratory syndrome (SARS) (1), investigators identified several factors that influenced compliance with quarantine restrictions
Quarantine referred to restriction at home of possible carriers of the agent, who were identified through contact tracing
Border health officials agreed that health warnings could be posted, and perhaps health-related information provided, at the county’s border crossings with Mexico, but any general increase in intensity of health screenings there that lengthened processing of border crossers even minimally would impede the flow of traffic and become untenable
Summary
A 1-day table-top exercise in San Diego, California, in December 2004 emphasized voluntary compliance with home quarantine to control an emerging infectious disease outbreak. Key factors were fear of income lost while quarantined, consistent information about the threat and measures to contain it, and adequate logistic and psychosocial support to those confined Using these findings, we organized a 1-day table-top exercise in San Diego, California, in late 2004 that revolved around an emerging infectious disease caused by an transmitted novel respiratory virus. The Study Our twin objectives were to promote coordinated implementation of quarantine measures by the several local military and civilian agencies and jurisdictions in San Diego County and to emphasize initial decisions that encouraged voluntary compliance In this exercise, quarantine referred to restriction at home of possible carriers of the agent, who were identified through contact tracing. In the absence of income insurance, officials could only appeal to the public’s sense of civic responsibility to comply with quarantine restrictions
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